| Thomas Reilly, LADC, LPC | |
|
30 Hazel Terrace, Suite 11, Woodbridge, CT 06525-2209 | |
| (203) 819-7650 | |
| Not Available |
| Full Name | Thomas Reilly |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 30 Hazel Terrace, Woodbridge, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326316886 | NPI | - | NPPES |
| 008042339 | Medicaid | CT | |
| 008038188 | Medicaid | CT | |
| 008024427 | Medicaid | CT | |
| 008023170 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002448 (Connecticut) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000951 (Connecticut) | Primary |
| Entity Name | Tr Counseling & Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629494232 PECOS PAC ID: 4880939065 Enrollment ID: O20181217000074 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Reilly, LADC, LPC 30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240 Ph: (203) 819-7650 | Thomas Reilly, LADC, LPC 30 Hazel Terrace, Suite 11, Woodbridge, CT 06525-2209 Ph: (203) 819-7650 |
Mrs. Sharon L Alpert, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Beecher Rd, Woodbridge, CT 06525 Phone: 203-389-1255 Fax: 203-389-1255 | |
Stephanie Robinson, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Ter Ste K, Woodbridge, CT 06525 Phone: 203-903-1669 | |
Jamie Marie Loehfelm, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Amity Rd, Woodbridge, CT 06525 Phone: 203-494-3072 | |
Nicholas Despoelberch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Terrace, Suite 11, Woodbridge, CT 06525 Phone: 203-819-7650 | |
Christopher M. Lesieur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Hazel Ter, Woodbridge, CT 06525 Phone: 203-819-7650 | |
Stacy Mantel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Bradley Rd, Suite 206, Woodbridge, CT 06525 Phone: 203-819-7316 |